Organization
OAK CLIFF CHILDREN'S CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEENA NITIN KANASE D.O. (PRESIDENT)
(214) 467-7377
Entity
Organization
Contact information
Practice address
2736 W ILLINOIS AVE, DALLAS, TX 75233-1004
(214) 467-7377
(214) 467-7384
Mailing address
2736 W ILLINOIS AVE, DALLAS, TX 75233-1004
(214) 467-7377
(214) 467-7384
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K6032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200831001
—
TX
05
—
200831002
—
TX
Enumeration date
02/22/2008
Last updated
05/21/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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